[Hiring] Utilization Review Supervisor RN @CorVel Career Site

Role Description

The Utilization Review Supervisor RN is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. This is a remote position.

Essential Functions & Responsibilities:

• Responsible for directing a designated group of employees in their day-to-day operations
• Responsible for quality of service provided
• Responsible for human resources matters directly related to department supervised
• May be required to travel overnight and attend meetings
• May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses
• May be responsible for limited marketing and sales activities
• May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN)
• For Supervisors who are not RN’s, the clinical oversight and direction will be performed by a designated RN with a nationally recognized certification.
• May perform case management responsibilities (dependent on whether or not unit manager is an RN for medical case management activities or qualified for vocational case management)
• Additional duties as assigned

Qualifications

• Clear written and verbal communication skills with the ability to communicate complex ideas across multiple platforms
• Ability to remain poised in stressful situations and communicate diplomatically
• Ability to skillfully manage multiple, complex projects and competing priorities while working under pressure to meet deadlines and maintaining strong customer service orientation
• Ability to work independently, while remaining available to others
• Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
• Must have technical knowledge of applicable laws, policies, and procedures in defined territory
• Strong interpersonal, time management and analytical skills
• Great attention to detail and focus on results

Requirements

• Graduate of accredited school of nursing with a diploma/associate's degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred)
• Current RN licensure in state of operation
• 3 or more years of recent clinical experience, preferably in rehabilitation
• National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred
• Demonstrated experience in management or supervision

Benefits

• Comprehensive benefits package for full-time regular employees
• Medical (HDHP) w/Pharmacy
• Dental
• Vision
• Long Term Disability
• Health Savings Account
• Flexible Spending Account Options
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K, ROTH 401K
• Paid time off

Pay Range

Pay Range: $77,960 – $120,368. CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account various factors including federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.